I assume they moved there after the first model t rolled off the production line. Over 80% of the world don't have a car, there is significant overlap with rural people in that.
As I have already said, improve infrastructure, improve public transport, get off your lazy arse and walk more then 5 seconds from your front door.
You don't say you're American but it's so obvious you are, being incapable of functioning without a car isn't normal it's kind of pathetic